03D2128816 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

CLIA Number: 03D2128816

Facility Name: BANNER URGENT CARE SERVICES LLC

Facility Address:
9111 N 7TH ST
PHOENIX, AZ
ZIP 85020
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Facility Phone Number: (602) 255-7670

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1013489640

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2128816
LAB Type	OTHER
Facility Name	BANNER URGENT CARE SERVICES LLC
Street	9111 N 7TH ST
City	PHOENIX
State	AZ
ZIP	85020
Phone	(602) 255-7670

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This page was last updated on: 5/11/2023